RESUMO
Only few cases of vascular dissection and essential thrombocythemia association have been reported. To the best of our knowledge, we reported the second case of aortic dissection and essential thrombocythemia association in a 60-year-old man with positive JAK2V617F mutation who had no history of hypertension or connective tissue disorders. Through this case, we discussed the eventual existence of a causal relationship between the two conditions. We also suggested the use of hydroxyurea as a prevention treatment of thrombosis in myeloproliferative neoplasms.
Assuntos
Dissecção Aórtica , Policitemia Vera , Trombocitemia Essencial , Dissecção Aórtica/complicações , Dissecção Aórtica/diagnóstico por imagem , Humanos , Hidroxiureia/uso terapêutico , Janus Quinase 2/genética , Masculino , Pessoa de Meia-Idade , Policitemia Vera/complicações , Policitemia Vera/genética , Trombocitemia Essencial/complicações , Trombocitemia Essencial/diagnóstico , Trombocitemia Essencial/tratamento farmacológicoRESUMO
We report the case of a 64-year-old patient with a history of coronary artery disease and severe left ventricular dysfunction ischemic requiring medical therapy only admitted for dyspnea. The association of heart failure with COVID-19 pneumonia is discussed. The distinction between these two pathologies is based on a set of clinical, biological and radiological arguments.